It is a great piece of skill to know how to guide your luck even while waiting for it….(Balastair Gracian)

This is the best description of the high level of scientific reasoning behind weaning transplant patients  from the immune suppression drugs. Skillfully guiding your luck while waiting for your luck. For the first 100 days Wayne was taking drugs to stop, not suppress, but  stop, his immune system from producing or working properly.  This gives the transplant a chance to take hold and feel like it is in charge – what the body doesn’t know, won’t hurt it, right?  (This explains in part, why he did not have the usual signs a person would have who presents with a necrotic gallbladder and contributed to the difficulty of diagnosing. Most of us would have been really sick, present with a fever, possibly develop an abscess or become septic, but because his body could not mount it’s normal response, the gallbladder problem was not identified as quickly or easily.)

Now it is time for the body to start to produce it’s own immune system and antibodies, but we want to go slow and steady, so Wayne can win the race.  For the next 3 1/2 months Wayne will slowly decrease his dose every week for the next 6 weeks. After that, the dose will be cut down every other week, until his immune system is fully functional. Because Wayne had his immune system wiped out,  he no longer has the benefit of his childhood immunizations. Wayne will need to start the immunization schedule, as if he were a newborn child. So until he has been caught up with his immunizations he will still have to be careful, avoid exposure to illness and continue good hand washing, all the precautions you would take with a baby.

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